Organization
CASCADE CANCER CENTERS OF WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL VANHAELST MD (MD)
(425) 899-3181
Entity
Organization
Contact information
Practice address
12303 NE 130TH LN, SUITE 120, KIRKLAND, WA 98034-3099
(425) 899-3181
(425) 899-3189
Mailing address
12303 NE 130TH LN, SUITE 120, KIRKLAND, WA 98034-3099
(425) 899-3181
(425) 899-3189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7106354
—
WA
01
—
CG2134
RAILROAD MEDICARE
WA
Enumeration date
05/23/2006
Last updated
06/19/2012
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